Provider Demographics
NPI:1619920220
Name:EDWARDS, AMI KAVI (MD)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:KAVI
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8550 MARSHALL DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66214-1505
Mailing Address - Country:US
Mailing Address - Phone:816-356-5000
Mailing Address - Fax:913-495-3742
Practice Address - Street 1:4811 S ARROWHEAD DR
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6981
Practice Address - Country:US
Practice Address - Phone:816-356-5000
Practice Address - Fax:913-495-3742
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO115612207Q00000X
KS0429307207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080186214OtherRAILROAD MEDICARE
KS100407180BMedicaid
KS25996039OtherBLUE SHIELD KANSAS CITY
KS100407180CMedicaid
H03103Medicare UPIN
KS100407180CMedicaid
KS000A017Medicare PIN